Canada
Puerto Rico
USA
Belgium
France
UK
India
Client Background
The client is an independent third-party administrator that supports diverse group benefit plans and offers consulting services in the healthcare and wellness market.
Client Need
The client faced challenges with their existing system:
Siloed processes for member enrollment and claim file management across multiple trading partners
Struggle in building a multi-tenant administrative system for customers
Absence of mobile applications for members to track qualifications and member compliant
Lack of effective systems to handle member pharma and emergency care needs
Difficulty receiving relevant push notifications based on member subscription choices
Solution
Innova experts developed a core administrative platform for employers to manage employee information and health plans, allowing them to efficiently process eligibility, claims, and agent commission information. Key solutions include:
Mobile Health Tracking: Developed a mobile application to track qualified services, telemedicine, and online health programs, with customized programs based on individual needs
Enhanced User Experience: Implemented features like geo-fencing to locate nearby pharmacies and emergency care notifications
Data Integration: Built a mapper to seamlessly integrate enrollment and claim data from various partners in different formats
Realized Benefits
Innova’s platform application provided seamless integration, empowering the client to manage employee information effortlessly. Key outcomes included:
Reduced infrastructure costs, leading to a 12% increase in profits.
Boosted employee qualified services enrollment by 25-30% and increased satisfaction levels from 7.2 to 8.4 out of 10
Features like telemedicine and geo-fencing fostered stronger member connections and reduced hospital admissions by 10%.
Improved system robustness with support for five message formats and standards
Tools & Technologies
Microsoft SQL Server
Xamarin
Azure Cosmos DB
Angular JS
Microsoft .NET
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